Verrucous Hemangioma

Nur Camelia, Syamsul Arifin, Yosep Ferdinand Rahmat Sugianto, Diah Adriani Malik, Yan Wisnu Prajoko, Meira Dewi Kusuma Astuti

2019

Abstract

Verrucous Hemangioma (VH) is a rare congenital vascular malformation consisted of capillary or cavernous hemangioma affecting dermis and subcutaneous tissue. VH usually presents at birth or early childhood, often unilateral and localized on the lower extremity. The clinical presentation shows hyperkeratotic plaques and nodules, bluish-purple, and partly confluent. Early diagnosis and treatment are pivotal for a satisfactory cosmetic result. A 28-year-old male presented with an asymptomatic rough lump on the left leg which gradually enlarged, thickened and became rougher through time. The lesion appeared since birth and was flat with red-bluish color, Dermatologic examination showed hyperkeratotic plaques and nodules, black-grey colored, confluent with defined margins, measured 10 x 4 cm on lower left leg. Histopathologic examination revealed epidermis hyperkeratosis, verrucous growth, acanthosis, elongated rete ridges, and blood vessels proliferation in the dermis. The patient was treated with cryosurgery, and propranolol tablets 2 x 10 mg and subsequently referred for surgical excision. Diagnosis of VH is hallmarked by hyperkeratotic nodules and confirmed by skin biopsy. Excision is one of the recommended treatment whenever possible. The patient was treated with broad and deep excision due to the high recurrence of VH. After four months of evaluation, the lesion showed satisfactory healing without signs of recurrences. The prognosis wasquo ad vitamadbonam, ad sanam and ad cosmetikamdubiaadbonam. We have reported a patient with VH treated by surgical excision, which showed satisfactory healing without signs of recurrences.

Paper Citation

in Harvard Style

Camelia N., Arifin S., Sugianto Y., Malik D., Prajoko Y. and Astuti M. (2019). Verrucous Hemangioma.In Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI, ISBN 978-989-758-469-5, pages 394-398. DOI: 10.5220/0009989903940398

in Bibtex Style

@conference{ictromi19,
author={Nur Camelia and Syamsul Arifin and Yosep Ferdinand Rahmat Sugianto and Diah Adriani Malik and Yan Wisnu Prajoko and Meira Dewi Kusuma Astuti},
title={Verrucous Hemangioma},
booktitle={Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,},
year={2019},
pages={394-398},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0009989903940398},
isbn={978-989-758-469-5},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 2nd International Conference on Tropical Medicine and Infectious Disease - Volume 1: ICTROMI,
TI - Verrucous Hemangioma
SN - 978-989-758-469-5
AU - Camelia N.
AU - Arifin S.
AU - Sugianto Y.
AU - Malik D.
AU - Prajoko Y.
AU - Astuti M.
PY - 2019
SP - 394
EP - 398
DO - 10.5220/0009989903940398